Lawrence munson, mda department of general surgery, lahey clinic medical center, tufts. Preoperative diagnosis of mirizzi syndrome is complex and a high index of suspicion is necessary to avoid serious complications. The obstructive jaundice can be caused by direct extrinsic compression by the stone or from fibrosis caused by chronic cholecystitis inflammation. Tabela 1, o caso relatado pode ser classificado como tipo va5. Symptoms of recurrent cholangitis, jaundice, right upper quadrant pain, and elevated bilirubin and alkaline phosphatase may or may not be present. Paciente do sexo masculino, 59 anos foi admitido no hospital universitario alcides carneiro apresentando ictericia obstrutiva, dor abdominal, acolia fecal, ascite, coluria e prurido por todo o corpo. Mirizzi s syndrome has no consistent or unique clinical features that distinguish it from other more common forms of obstructive jaundice. The surgical treatment of the mirizzi syndrome requires ability and care in the dissection of the biliary tract in order to perform the cholecystectomy, a safe operation of the biliary tract can be avoided and the removal of the calculus so can avoid any iatrogeny in the biliary tract, as in this particular case, where was opted to dissect the biliary tract incompletely through the torek. National association for down syndrome 1460 renaissance drive, park ridge, il 60068 6303259112. We use cookies to make interactions with our website easy and meaningful, to better understand the use of our services, and to tailor advertising. Scribd is the worlds largest social reading and publishing site. Todos presentaron dolor abdominal 100%, 5, ictericia 14% y ninguno, fiebre ni colangitis. Mirizzi syndrome is a compli cation of a long standing colelithiasis. Generally, an ebook can be downloaded in five minutes or less.